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Nursing In a Flash 
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Question Answer
What are the two major components of data collection during a clinical interview when a child or adolescent is the focus?
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Establish a treatment alliance and assess interactions between the child and parent.
What information can observation of child-parent interactions provide?
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Information about the amount of parent-child attachment and parenting practices.
How should a nurse conduct her observations of a child while doing an assessment?
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Observe the child alone and then with family, the child and parent should be interviewed individually.
What assessment data is a parent most likely to provide regarding their child?
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Objective data like changes in behavior or changes in relationship dynamic.
What assessment data is a child most likely to provide?
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Subjective data like their mood, sleep habits or changes, or suicidal ideation.
T/F Adolescents may act different or even hostile when asked to be interviewed alone, this should be considered a normal finding.
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TRUE
What are the normal feelings/behaviors of teens during a clinical interview?
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Skepticism, suspicion, and fears that their thoughts and feelings are abnormal.
What question is it important for a nurse to ask a child who is younger than 11?
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Ask the child's understanding of why they are there
Children respond well to ________ conversation prompts.
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Third person-i.e. I know a little boy who was so afraid of the dark that he would wet his bed instead of getting up to pee.
When assessing a preschool aged child, what regarding development is important for a nurse to keep in mind?
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Children this age may have difficult putting feelings into words and their thinking is very concrete.
How can a nurse achieve rapport with a preschool aged child?
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Through play, of which the rules are established in advance
What elements are important to observe when assessing a child during free play?
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Initiation of play, energy level, manipulative actions, tempo, body movements, tone, integration, reativity, products, age appropriateness and attitudes towards adults.
T/F Including parents in play therapy and using a humanistic approach has the greatest positive effect over other forms of play therapy for children.
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TRUE
What assessment value does a child's drawing have?
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They can provide information about the child's intellect, creative talents, neuropsychological deficits, body image difficulties and perceptions of family life.
How can a nurse achieve rapport with a school aged child?
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Using competitive board games like checkers and playing cards .
What can thinking-feeling-doing games provide during therapy with a school aged child?
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It can provide information about a child's perceptions, cognition and emotions. Cards have scenarios like A girls hears her parents fighting. What are they fighting about?
Adolescents are prone to egocentrism. What is it?
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The belief that there's an audience watching them, a preoccupation with one's own appearance, behavior, thoughts and feelings as a result.
Adolescents engage in the personal fable. What is it?
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The belief they are special and omnipotent
Developmental changes that occur in school aged children include:
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They are able to use more constructs, make inferences, provide descriptions and acquire more complete conceptions of societal roles. They can tolerate limited periods of direct questioning.
Developmental changes that occur in adolescent children include:
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Increased self-consciousness, fear of being shamed, and demands for privacy and secrecy.
What is important to share with an adolescent as part of the therapeutic relationship?
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What information will and will not be shared with their parents.
What is thought to contribute to the genetic transmission of psychiatric disorders?
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A phenomenon called assortive mating which is the tendency to select mates who are similar in genetically linked traits such as intelligence and personality style.
Why is it important to note a child's level of attractiveness during the mental status examination?
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Research shows that the appearance and attractiveness of children and adults strongly influence their social relationships.
Assessment of preteens and adolescents should address _________ because responses can provide information about high risk behaviors.
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Sexual activity or substance use
What theorist studied maternal deprivation and laid the initial framework for attachment theory?
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Bowlby
_________'s parent-child interaction model stresses the importance of attachments to parents and other caretakers, and high-quality intense bonds are required for for healthy development.
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Barnard's
What was found to be a unique predictor for a child's attachment to both mother and father to be insecure?
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The mother's anxious attachment style
What does a strong mother-child attachment provide?
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Perceived global self-worth, and perception of physical appearance.
What does a strong father-child attachment provide?
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School competence and global self-worth in older children
_________ disorder occurs when a child younger than 5 fails to initiate or respond appropriately to social interaction and the caregiver subsequently disregards the child's physical and emotional needs.
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Reactive attachment disorder


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